Key result
Multimodal rehabilitation therapy enhances functional recovery and negative upper motor neuron signs during spasticity management.
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Improvement in functional skills is typically a goal of spasticity management. Spasticity management alone will improve the positive signs of the upper motor neuron syndrome without functional change. In this review, we demonstrate that a variety of therapy modalities are required to facilitate these improvements and impact the negative signs of the upper motor neuron syndrome. The evidence for neuromuscular electrical stimulation, surface electromyography training, serial casting, body weight-supported treadmill training, constraint-induced movement therapy, strengthening, and endurance training is reviewed as it relates to spasticity management.
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Lynne Romeiser Logan (2011) conducted a review in Spasticity / upper motor neuron syndrome. Rehabilitation therapy modalities (neuromuscular electrical stimulation, surface EMG training, serial casting, body weight-supported treadmill training, constraint-induced movement therapy, strengthening, and endurance training) was evaluated on Improvement in functional skills and impact on negative signs of the upper motor neuron syndrome. Multiple rehabilitation therapy modalities are required alongside spasticity management to improve functional skills and negative signs of upper motor neuron syndrome (no quantitative results).
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